Organization Active NPI

Community Medical Care Center

  • Adult Day Care Clinic/Center
  • Immokalee, FL
National Provider Identifier
1477858751
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ACN248 Issued in FL
Legal business name
COMMUNITY MEDICAL CARE CENTER
Practice address
214 S 1St St
Immokalee, FL 34142-3904
Phone
(239) 657-5800
Fax
(239) 657-9600
NPI assigned
Jan 18, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Antonio Gonzalez
Title
MD
Phone
(239) 657-5800

National Provider Directory

National Provider Directory

Locations

214 S 1st St
Unit C
Immokalee, FL 34142
Phone (239) 657-5800

214 S 1st St
Immokalee, FL 34142
Phone (239) 657-5800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ACN248 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

214 S 1St St
Immokalee, FL 34142-3904

Mailing address

214 S 1St St
Immokalee, FL 34142-3904
Phone (239) 657-5800

Other names 1

NPPES NPI Registry
  • N/A Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2011.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1477858751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 1ST ST",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341423904",
            "telephone_number": "239-657-5800",
            "fax_number": "239-657-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 1ST ST",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341423904",
            "telephone_number": "239-657-5800",
            "fax_number": "239-657-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-657-5800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "ACN248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Immokalee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.